Individual
JENNIFER S BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
988444 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1709
(402) 836-9200
Mailing address
5612 S 160TH ST, OMAHA, NE 68135-2986
(402) 661-4568
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2904
NE
Other
Enumeration date
11/01/2020
Last updated
06/17/2024
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